Kayla Collum, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

906453 Issued in MS

Practice address

607 Summer PL
Flowood, MS 39232-7596

Phone

(601) 665-5305

NPI assigned

Jan 19, 2024

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pediatrics Plus, PLLC

  • Family Medicine Physician
  • Byram, MS
  • NPI 1063266823
  Medicare reassignment NPD
• Beautiful Minds Medical Aesthetics PLLC

  • Family Nurse Practitioner
  • Jackson, MS
  • NPI 1144040080
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1705622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705622400000",
    "number": "1245091016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 SUMMER PL",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392327596",
            "telephone_number": "601-665-5305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 SUMMER PL",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392327596",
            "telephone_number": "601-665-5305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLUM",
        "first_name": "KAYLA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-19",
        "last_updated": "2024-01-19",
        "certification_date": "2024-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "906453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Cocilova, FNP-C
• Richard Coker
• Tammy Coker
• Karen F Cole, MD
• David C Collipp, M.D.
• Dhara Cohly Comans, P-LPC
• Michael Roland Combs, PHARMD
• Common Care Homes LLC
• Compass Christian Counseling
• Complete Choice Personal Care - Mississippi LLC

• Family Nurse Practitioner in Flowood, MS
• Providers in Flowood, MS by specialty
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.